{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T08:56:36Z","timestamp":1792054596474,"version":"4.4.0"},"reference-count":21,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2008,7,11]],"date-time":"2008-07-11T00:00:00Z","timestamp":1215734400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/501100003030","name":"Ag\u00e8ncia de Gesti\u00f3 d'Ajuts Universitaris i de Recerca","doi-asserted-by":"publisher","award":["2005SGR 00961"],"award-info":[{"award-number":["2005SGR 00961"]}],"id":[{"id":"10.13039\/501100003030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2008,7,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Transient recurrent laryngeal nerve palsy affects to 5\u201310 per cent of patients after extracapsular thyroidectomy. This prospective study assessed the impact of surgical injury and extralaryngeal branching of the inferior laryngeal nerve (ILN) on vocal cord dysfunction (VCD).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Total thyroidectomy or lobectomy was performed in 188 patients, with 302 ILNs at risk. The anatomy of the ILN and degree of injury to the nerve, based on the Laryngeal Nerve Injury Score (LNIS), were recorded. Fibreoptic laryngoscopy was performed a mean(s.d.) of 10\u00b76(4\u00b71) days after thyroidectomy.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Some 37\u00b74 per cent of ILNs showed extralaryngeal branching. In all, 10\u00b79 per cent of patients developed VCD; 4\u00b73 per cent had paresis and 6\u00b76 per cent paralysis. All paretic and all but one paralytic cords recovered fully after 61(17) days. VCD was more frequently associated with branched than non-branched ILNs (15\u00b78 versus 8\u00b71 per cent; P = 0\u00b7022). Injuries were more common in branched nerves (mean(s.e.m.) total LNIS 0\u00b794(0\u00b708) versus 0\u00b751(0\u00b705); P &amp;lt; 0\u00b7001). Branched nerves were more likely to be associated with VCD (odds ratio 2\u00b72 (95 per cent confidence interval 1\u00b71 to 4\u00b75)).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Branched ILNs suffer more surgical injuries and are twice as likely to be associated with VCD.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/bjs.6173","type":"journal-article","created":{"date-parts":[[2008,7,11]],"date-time":"2008-07-11T08:34:04Z","timestamp":1215765244000},"page":"961-967","source":"Crossref","is-referenced-by-count":85,"title":["Risk factors for transient vocal cord palsy after thyroidectomy"],"prefix":"10.1093","volume":"95","author":[{"given":"J J","family":"Sancho","sequence":"first","affiliation":[{"name":"Endocrine Surgery Unit, Department of Surgery, Hospital del Mar, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Pascual-Damieta","sequence":"additional","affiliation":[{"name":"Endocrine Surgery Unit, Department of Surgery, Hospital del Mar, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J A","family":"Pereira","sequence":"additional","affiliation":[{"name":"Endocrine Surgery Unit, Department of Surgery, Hospital del Mar, Barcelona, Spain"},{"name":"Life Sciences Department, Universitat Pompeu Fabra, Hospital del Mar, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M J","family":"Carrera","sequence":"additional","affiliation":[{"name":"Endocrine and Metabolism Department, Hospital del Mar, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Fontan\u00e9","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Hospital del Mar, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Sitges-Serra","sequence":"additional","affiliation":[{"name":"Endocrine Surgery Unit, Department of Surgery, Hospital del Mar, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2008,7,11]]},"reference":[{"key":"2021070907430753200_bib1","first-page":"1167","article-title":"Medicolegal analysis of errors in diagnosis and treatment of surgical endocrine disease","volume":"114","author":"Kern","year":"1993","journal-title":"Surgery"},{"key":"2021070907430753200_bib2","first-page":"775","article-title":"Routine dissection and demonstration of recurrent laryngeal nerve in subtotal thyroidectomy","volume":"66","author":"Lahey","year":"1938","journal-title":"Surg Gynecol Obstet"},{"key":"2021070907430753200_bib3","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1097\/00000658-200202000-00015","article-title":"Laryngeal recurrent 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